open access
Hypoglossal nerve paralysis in a child after a dental procedure
- Section of Pediatrics and Child Neuropsychiatry, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
- Maurice Wohl Clinical Neuroscience Institute, King's College London, London
open access
Abstract
Unilateral palsy of the hypoglossal nerve is a rare complication of orthodontic procedures. The main reported causes of HNP are: orthopedic and otorhinolaryngology surgical interventions, and in particular maneuvers involving compression or overstretching of the hypoglossal nerve, dental procedures and traumas, and also infections, motoneuron disorders, tumors, vascular diseases. Diagnosis is usually performed by electrophysiology studies (EMG-VCN), and brain magnetic resonance imaging (MRI) is useful to exclude other causes. The prognosis depends on the location and extension of the damage. Currently there is not a standardized treatment approach except the speech therapy, although, in some cases, the high-dose steroid treatment could be useful. We describe the case of a ten-year-old female, who was admitted in our Unit after a deviation of the tongue associated with dysarthria and dysphagia, occurred after the application of a mobile orthodontic device.
Abstract
Unilateral palsy of the hypoglossal nerve is a rare complication of orthodontic procedures. The main reported causes of HNP are: orthopedic and otorhinolaryngology surgical interventions, and in particular maneuvers involving compression or overstretching of the hypoglossal nerve, dental procedures and traumas, and also infections, motoneuron disorders, tumors, vascular diseases. Diagnosis is usually performed by electrophysiology studies (EMG-VCN), and brain magnetic resonance imaging (MRI) is useful to exclude other causes. The prognosis depends on the location and extension of the damage. Currently there is not a standardized treatment approach except the speech therapy, although, in some cases, the high-dose steroid treatment could be useful. We describe the case of a ten-year-old female, who was admitted in our Unit after a deviation of the tongue associated with dysarthria and dysphagia, occurred after the application of a mobile orthodontic device.
Keywords
Hypoglossal palsy, Orthodontic procedures, Seddon/Sunderland classification
Title
Hypoglossal nerve paralysis in a child after a dental procedure
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
406-409
Published online
2018-02-06
Page views
411
Article views/downloads
884
DOI
10.1016/j.pjnns.2018.01.006
Bibliographic record
Neurol Neurochir Pol 2018;52(3):406-409.
Keywords
Hypoglossal palsy
Orthodontic procedures
Seddon/Sunderland classification
Authors
Simona D. Marino
Laura Schiavone
Flavia M.C. La Mendola
Tiziana Timpanaro
Maria Elena Cucuzza
Filippo Greco
Pierluigi Smilari
Agata Fiumara
Andrea Domenico Praticò